Provider Demographics
NPI:1568092096
Name:DAVIS, TE'NAJAH (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:TE'NAJAH
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14243 BALMORAL ST
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-7901
Mailing Address - Country:US
Mailing Address - Phone:269-338-1564
Mailing Address - Fax:
Practice Address - Street 1:14243 BALMORAL ST
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-7901
Practice Address - Country:US
Practice Address - Phone:269-338-1564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7401001932103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst